NPI | 1467035543 |
---|---|
Former Name | BAILEY WOLDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 71975) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 81358-21) |
Enumeration Date | 2021-05-05 |
Last Update Date | 2024-09-30 |